Individual provider · Type 1 NPI

Jeremy Ethan Moss, MD, PhD

Dermatology Physician · Madison, CT

NPI number 1689625188 Active

Practice location

1343 Boston Post Rd Apt 101
Madison, CT 06443-3481

Fax (860) 664-0285

Mailing address

4700 Exchange Ct Ste 110
Boca Raton, FL 33431-4450

Other practice locations

  • 1078 W Main St, Waterbury, CT 06708-2651 · (203) 757-1585

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X043137 (CT)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1689625188

Jeremy Ethan Moss, MD, PhD's National Provider Identifier is 1689625188, issued on May 12, 2006. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Madison, CT. The record was last updated on Feb 9, 2026.